Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?

No

No

Is the organization required to complete Schedule B, Schedule of Contributors?

Yes

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?

No

No

Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?

No

No

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?

No

No

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?

No

No

Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?

No

No

Did the organization maintain collections of works of art, historical treasures, or other similar assets?

No

No

Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?

No

No

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?

No

No

Did the organization report an amount for land, buildings, and equipment?

Yes

Yes

Did the organization report an amount for investments-other securities that is 5% or more of its total assets?

No

No

Did the organization report an amount for investments-program related that is 5% or more of its total assets?

No

No

Did the organization report an amount for other assets that is 5% or more of its total assets?

Yes

Yes

Did the organization report an amount for other liabilities?

Yes

Yes

Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?

No

No

Did the organization obtain separate, independent audited financial statements for the tax year?

No

No

Was the organization included in consolidated, independent audited financial statements for the tax year?

Yes

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)?

No

No

Did the organization maintain an office, employees, or agents outside of the United States?

No

No

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?

No

No

Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?

No

No

Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?

No

No

Did the organization report a total of more than $15,000 of expenses for professional fundraising services?

No

No

Did the organization report more than $15,000 total of fundraising event gross income and contributions?

No

No

Did the organization report more than $15,000 of gross income from gaming activities?

No

No

Did the organization operate one or more hospital facilities?

Yes

Yes

Did the organization attach a copy of its audited financial statements?

Yes

Yes

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?

No

No

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?

No

No

Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?

Yes

Yes

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?

Yes

Yes

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

Yes

Yes

Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?

No

No

Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?

No

No

Did the organization engage in an excess benefit transaction with a disqualified person during the year?

No

No

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

No

No

Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?

No

No

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?

No

No

Was the organization a party to a business transaction with one of the following parties

A current or former officer, director, trustee, or key employee?

No

No

A family member of a current or former officer, director, trustee, or key employee?

No

No

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?

No

No

Did the organization receive more than $25,000 in non-cash contributions?

No

No

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?

No

No

Did the organization liquidate, terminate, or dissolve and cease operations?

No

No

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?

No

No

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?

Yes

Yes

Was the organization related to any tax-exempt or taxable entity?

Yes

Yes

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

Yes

Yes

Did the organization make any transfers to an exempt non-charitable related organization?

No

No

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?

No

No

Statements Regarding Other IRS Filings and Tax Compliance

2011

2012

2013

The number reported in Box 3 of Form 1096

515

568

The number of Forms W-2G

0

0

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?

Yes

Yes

The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return

10,711

10,825

Did the organization file all required federal employment tax returns?

Yes

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?

Yes

Yes

Yes

Has it filed a Form 990-T for this year?

Yes

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?

No

No

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

No

No

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

No

No

Did the organization file Form 8886-T?

No

No

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?

No

No

Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?

No

No

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?

No

No

Did the organization notify the donor of the value of the goods or services provided?

No

No

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?

No

No

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

No

No

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

No

No

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

No

No

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

No

No

Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?

No

No

Did the sponsoring organization make any taxable distributions under section 4966?

No

No

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?

No

No

Initiation fees and capital contributions

$0

$0

$0

Gross receipts for public use of club facilities

$0

$0

$0

Gross income from members or shareholders

$0

$0

$0

Gross income from other sources

$0

$0

$0

Is the organization filing Form 990 in lieu of Form 1041?

No

No

The amount of tax-exempt interest received or accrued during the year

$0

$0

Is the organization licensed to issue qualified health plans in more than one state?

No

No

The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans

$0

$0

The amount of reserves on hand

$0

$0

Did the organization receive any payments for indoor tanning services during the tax year?

Total estimated amount of other compensation from the organization and related organizations

$922,703

$917,109

Total number of individuals who received more than $100,000 of reportable compensation from the organization

840

942

Total number of independent contractors who received more than $100,000 of compensation from the organization

160

166

Statement of Revenue

2011

2012

2013

Total revenue

$1,302,200,023

$1,330,863,030

$1,419,687,684

Contributions, Gifts, Grants and Other Similar Amounts

$20,838,066

$22,816,728

$27,189,603

Program Service Revenue

$1,120,120,641

$1,139,781,078

$1,168,524,910

900099

$1,118,332,156

$1,149,603,315

900099

$21,448,922

$18,921,595

All other program service revenue

$0

$0

Other Revenue

Investment income (including dividends, interest, and other similar amounts)

$15,138,856

$13,426,113

$14,222,910

Income from investment of tax-exempt bond proceeds

$1

$0

$0

Royalties

$0

$0

$0

Net rental income

$2,031,959

$2,148,054

$453,233

Gross rents (Real / Personal)

$3,103,453 / $0

$2,859,016 / $0

$2,529,545 / $0

Less: rental expenses (Real / Personal)

$1,071,494 / $0

$710,962 / $0

$2,076,312 / $0

Rental income or (loss) (Real / Personal)

$2,031,959 / $0

$2,148,054 / $0

$453,233 / $0

Net gain/loss from sales of assets other than inventory

$25,501,055

$17,642,579

$49,776,815

Gross amount from sales of assets other than inventory (Securities / Other)

$302,749,558 / $0

$134,529,607 / $0

$493,181,802 / $0

Less: cost or other basis and sales expenses (Securities / Other)

$277,248,503 / $0

$116,887,028 / $0

$443,404,987 / $0

Gain or (loss) (Securities / Other)

$25,501,055 / $0

$17,642,579 / $0

$49,776,815 / $0

Net income/loss from fundraising events

$0

$0

$0

Net income/loss from gaming activities

$0

$0

$0

Net income/loss from sales of inventory

$116,855,291

$133,346,298

$157,842,720

Gross sales of inventory, less returns and allowances

$199,027,625

$208,244,555

$239,744,555

Less: cost of goods sold

$82,172,334

$74,898,257

$81,901,835

Miscellaneous Revenue

$1,714,154

$1,702,180

$1,677,493

900099

$1,702,180

$1,677,493

All other revenue

$0

$0

Statement of Functional Expenses

2011

2012

2013

Total functional expenses

$1,171,475,185

$1,214,341,029

$1,276,401,525

Grants and other assistance to domestic organizations and domestic governments

$0

$0

Grants and other assistance to domestic individuals

$0

$0

Grants and other assistance to foreign organizations, foreign governments, and foreign individuals

$764,500

$960,472

Benefits paid to or for members

$0

$0

Compensation of current officers, directors, trustees, and key employees

$8,549,647

$9,614,142

$8,909,698

Compensation not included above, to disqualified persons

$0

$0

Other salaries and wages

$555,348,786

$583,376,114

$611,263,805

Pension plan accruals and contributions

$53,533,378

$71,997,074

Other employee benefits

$101,992,138

$100,518,968

Payroll taxes

$34,590,466

$43,534,520

$44,750,607

Fees for services (non-employees)

Management

$41,250

$0

Legal

$427,739

$548,610

Accounting

$294,000

$294,000

Lobbying

$180,325

$171,382

Professional fundraising services

$0

$0

$0

Investment management fees

$2,971,642

$3,059,167

Other

$0

$0

Advertising and promotion

$2,010,513

$2,640,715

Office expenses

$281,124,115

$141,440,819

Information technology

$28,474,136

$22,948,356

Royalties

$0

$0

Occupancy

$14,218,728

$15,316,602

Travel

$2,049,109

$2,201,882

Payments of travel or entertainment expenses for any federal, state, or local public officials

$0

$0

Conferences, conventions, and meetings

$2,563,388

$2,871,593

Interest

$1,812,634

$1,528,687

Payments to affiliates

$0

$0

Depreciation, depletion, and amortization

$74,341,321

$73,506,320

Insurance

$7,415,952

$12,142,196

Other expenses

$3,601,385

$159,330,572

Balance Sheet

2011

2012

2013

Total assets

$2,025,366,133

$2,152,434,838

$2,359,111,024

Cash - non-interest-bearing

$111,526,555

$82,738,126

Savings and temporary cash investments

$181,556,554

$181,626,471

Pledges and grants receivable, net

$0

$0

Accounts receivable, net

$186,691,707

$245,119,966

Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees

$0

$0

Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations

$0

$0

Notes and loans receivable, net

$0

$0

Inventories for sale or use

$15,633,989

$16,856,106

Prepaid expenses and deferred charges

$0

$0

Land, buildings, and equipment: cost or other basis

$541,015,515

$575,036,783

Investments - publicly traded securities

$821,288,521

$882,603,496

Investments - other securities

$75,614,124

$97,850,306

Investments - program-related

$0

$0

Intangible assets

$1,015,805

$1,015,805

Other assets

$218,092,068

$276,263,965

Total liabilities

$733,842,201

$861,640,140

$814,544,066

Accounts payable and accrued expenses

$186,751,837

$190,959,450

Grants payable

$0

$0

Deferred revenue

$0

$0

Tax-exempt bond liabilities

$328,420,871

$319,808,513

$310,777,605

Escrow or custodial account liability

$0

$0

Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons

$0

$0

Secured mortgages and notes payable to unrelated third parties

$0

$0

$0

Unsecured notes and loans payable to unrelated third parties

$0

$0

$0

Other liabilities (including federal income tax, payables to related third parties, and other liabilities)

$355,079,790

$312,807,011

Total net assets or fund balances

$1,291,523,932

$1,290,794,698

$1,544,566,958

Unrestricted net assets

$1,218,656,292

$1,471,847,725

Temporarily restricted net assets

$49,226,718

$49,432,933

Permanently restricted net assets

$22,911,688

$23,286,300

Capital stock or trust principal, or current funds

$0

$0

Paid-in or capital surplus, or land, building, or equipment fund

$0

$0

Retained earnings, endowment, accumulated income, or other funds

$0

$0

$0

Reason for Public Charity Status (for 2013)

The organization is not a private foundation because it is:

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)

Number of organizations supported

0

Sum of amounts of support

$0

Revenue, Expenses, and Changes in Net Assets or Fund Balances

2000

2001

2002

2003

2004

2005

2006

2007

Total revenue

$711,676,001

$861,824,678

$965,408,690

$1,124,305,285

$1,300,166,171

$1,450,963,737

$1,598,185,365

$1,712,484,642

Contributions, gifts, grants, and similar amounts received

$11,140,102

$10,727,949

$11,160,911

$11,470,514

$12,336,652

$13,111,921

$11,443,669

$14,281,067

Contributions to donor advised funds

$0

$0

Direct public support

$757,568

$1,160,682

$807,179

$570,983

$374,755

$400,407

$426,566

$450,778

Indirect public support

$0

$0

$0

$0

$0

$0

$0

$0

Government contributions (grants)

$10,382,534

$9,567,267

$10,353,732

$10,899,531

$11,961,897

$12,711,514

$11,017,103

$13,830,289

Program service revenue including government fees and contracts

$674,244,720

$791,253,756

$894,176,435

$1,032,713,782

$1,179,676,936

$1,308,043,259

$1,446,857,320

$1,594,738,278

Membership dues and assessments

$0

$0

$0

$0

$0

$0

$0

$0

Interest on savings and temporary cash investments

$2,346,260

$1,343,709

$1,098,515

$739,692

$1,894,042

$4,323,173

$7,141,122

$6,611,757

Dividends and interest from securities

$5,961,346

$7,124,094

$7,183,004

$6,459,572

$19,403,139

$31,667,858

$36,366,996

$22,522,392

Net rental income or (loss)

$2,120,982

$2,268,923

$2,748,346

$2,700,299

$2,030,085

$2,094,866

$2,042,593

$2,240,485

Gross rents

$3,015,613

$3,098,669

$3,543,114

$3,495,840

$3,218,619

$3,154,749

$3,150,264

$3,322,846

Less: rental expenses

$894,631

$829,746

$794,768

$795,541

$1,188,534

$1,059,883

$1,107,671

$1,082,361

Other investment income

$266,134

$60,025

$13,807

$0

$0

$0

$0

$0

Gain or (loss) from sales of assets other than inventory

$-23,549,614

$-19,198,461

$-10,989,264

$8,938,116

$14,494,773

$27,198,009

$29,024,204

$15,608,307

Gross amount from sales of assets other than inventory

$0

$178,205,985

$0

$8,938,116

$14,976,970

$28,108,453

$30,030,931

$15,608,307

Less: cost or other basis and sales expenses

$23,549,614

$197,404,446

$10,989,264

$0

$482,197

$910,444

$1,006,727

$0

Net income or (loss) from special events and activities

$0

$0

$0

$0

$0

$0

$0

$0

Gross revenue

$0

$0

$0

$0

$0

$0

$0

$0

Less: direct expenses other than fundraising expenses

$0

$0

$0

$0

$0

$0

$0

$0

Gross profit or (loss) from sales of inventory

$13,073,352

$15,111,334

$13,131,534

$20,040,477

$20,421,422

$18,395,344

$17,497,834

$13,459,046

Gross sales of inventory, less returns and allowances

$64,904,053

$78,349,228

$90,382,250

$108,573,867

$121,293,075

$131,705,582

$143,950,448

$147,853,120

Less: cost of goods sold

$51,830,701

$63,237,894

$77,250,716

$88,533,390

$100,871,653

$113,310,238

$126,452,614

$134,394,074

Other revenue

$26,072,719

$53,133,349

$46,885,402

$41,242,833

$49,909,122

$46,129,307

$47,811,627

$43,023,310

Total expenses

$774,425,955

$859,330,526

$978,222,549

$1,090,791,479

$1,228,319,942

$1,354,271,626

$1,491,084,071

$1,626,489,230

Program services

$599,000,255

$663,311,690

$753,973,048

$849,236,912

$967,109,027

$1,070,101,263

$1,160,063,781

$1,267,027,850

Management and general

$175,425,700

$196,018,836

$224,249,501

$241,554,567

$261,210,915

$284,170,363

$331,020,290

$359,461,380

Fundraising

$0

$0

$0

$0

$0

$0

$0

$0

Payments to affiliates

$0

$0

$0

$0

$0

$0

$0

$0

Net assets or fund balances at end of year

$599,850,621

$583,696,414

$599,272,541

$670,748,195

$754,181,131

$838,561,923

$963,519,945

$960,416,025

Excess or (deficit) for the year

$-62,749,954

$2,494,152

$-12,813,859

$33,513,806

$71,846,229

$96,692,111

$107,101,294

$85,995,412

Net assets or fund balances at beginning of year

$711,341,934

$599,850,621

$583,696,414

$599,272,541

$670,748,195

$754,181,131

$838,561,923

$963,519,945

Other changes in net assets or fund balances

$-48,741,359

$-18,648,359

$28,389,986

$37,961,848

$11,586,707

$-12,311,319

$17,856,728

$-89,099,332

Statement of Functional Expenses (for 2007)

Total

Program services

Management and general

Fundraising

Total functional expenses

$1,626,489,230

$1,267,027,850

$359,461,380

$0

Grants paid from donor advised funds

$0

Other grants and allocations

$0

Specific assistance to individuals

$0

Benefits paid to or for members

$0

Compensation of current officers, directors, key employees, etc.

$3,090,806

$0

$3,090,806

$0

Compensation of former officers, directors, key employees, etc.

$279,933

$0

$279,933

$0

Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)

$0

$0

$0

$0

Salaries and wages of employees not included above

$498,247,575

$390,753,406

$107,494,169

$0

Pension plan contributions not included above

$40,409,105

$31,478,693

$8,930,412

$0

Employee benefits not included above

$83,152,935

$64,776,136

$18,376,799

$0

Payroll taxes

$38,130,880

$29,703,956

$8,426,924

$0

Professional fundraising fees

$0

$0

$0

$0

Accounting fees

$233,699

$182,052

$51,647

$0

Legal fees

$1,002,801

$781,182

$221,619

$0

Supplies

$236,678,507

$184,372,557

$52,305,950

$0

Telephone

$2,097,740

$1,634,139

$463,601

$0

Postage and shipping

$1,198,413

$933,564

$264,849

$0

Occupancy

$17,012,500

$13,252,738

$3,759,762

$0

Equipment rental and maintenance

$21,249,031

$16,552,995

$4,696,036

$0

Printing and publications

$6,534,400

$5,090,298

$1,444,102

$0

Travel

$1,910,944

$1,488,625

$422,319

$0

Conferences, conventions, and meetings

$1,981,654

$1,543,708

$437,946

$0

Interest

$5,176,237

$4,032,289

$1,143,948

$0

Depreciation, depletion, etc.

$60,356,732

$47,017,894

$13,338,838

$0

Other expenses not covered above

$607,745,338

$473,433,618

$134,311,720

$0

Balance Sheets

2000

2001

2002

2003

2004

2005

2006

2007

Total assets

$978,144,193

$961,763,654

$1,021,913,251

$1,095,705,973

$1,200,858,332

$1,300,634,025

$1,450,477,827

$1,480,121,914

Cash - non-interest-bearing

$14,461,425

$27,247,227

$57,858,560

$57,486,899

$73,515,586

$114,854,547

$132,042,151

$77,307,747

Savings and temporary cash investments

$16,039,409

$12,092,510

$14,309,859

$23,234,100

$24,023,826

$34,307,956

$36,152,240

$93,978,805

Accounts receivable less allowance for doubtful accounts

$83,850,103

$99,254,451

$106,328,810

$114,297,819

$117,553,837

$107,529,586

$127,493,608

$149,538,917

Pledges receivable less allowance for doubtful accounts

$0

$0

$0

$0

$0

$0

$0

$0

Grants receivable

$0

$0

$0

$0

$0

$0

$0

$0

Receivables from current and former officers, directors, trustees, and key employees

$0

$0

$0

$0

$0

$0

$0

$0

Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

2000

2001

2002

2003

2004

2005

2006

2007

Total revenue

$711,676,001

$861,824,678

$965,408,690

$1,124,305,285

$1,300,166,171

$1,450,963,737

$1,598,185,365

$1,712,484,642

Total revenue, gains, and other support per audited financial statements

$575,331,777

$667,620,601

$753,258,484

$864,410,446

$962,284,429

$1,052,883,692

$1,140,031,627

$1,204,578,134

Other expenses

$0

$0

$0

$0

$0

$0

$0

$0

Net unrealized gains on investments

$0

$0

$0

$0

$0

$0

$0

$0

Donated services and use of facilities

$0

$0

$0

$0

$0

$0

$0

$0

Recoveries of prior year grants

$0

$0

$0

$0

$0

$0

$0

$0

Other

$0

$0

$0

$0

$0

$0

$0

$0

Other revenue

$136,344,224

$194,204,077

$212,152,206

$259,894,839

$337,881,742

$398,080,045

$458,153,738

$507,906,508

Investment expenses

$0

$0

$0

$0

$0

$0

$0

$0

Other

$136,344,224

$194,204,077

$0

$259,894,839

$337,881,742

$398,080,045

$458,153,738

$507,906,508

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

2000

2001

2002

2003

2004

2005

2006

2007

Total expenses

$774,425,955

$859,330,526

$978,222,549

$1,090,791,479

$1,228,319,942

$1,354,271,626

$1,491,084,071

$1,626,489,230

Total expenses and losses per audited financial statements

$640,459,799

$683,944,745

$768,321,390

$830,896,640

$890,438,200

$956,191,581

$1,032,930,333

$1,118,582,722

Other revenue

$0

$0

$0

$0

$0

$0

$0

$0

Donated services and use of facilities

$0

$0

$0

$0

$0

$0

$0

$0

Prior year adjustments

$0

$0

$0

$0

$0

$0

$0

$0

Losses

$0

$0

$0

$0

$0

$0

$0

$0

Other

$0

$0

$0

$0

$0

$0

$0

$0

Other expenses

$133,966,156

$175,385,781

$209,901,159

$259,894,839

$337,881,742

$398,080,045

$458,153,738

$507,906,508

Investment expenses

$0

$0

$0

$0

$0

$0

$0

$0

Other

$133,966,156

$175,385,781

$0

$259,894,839

$337,881,742

$398,080,045

$458,153,738

$507,906,508

Current Officers, Directors, Trustees, and Key Employees

Average hours per week devoted to position

Compensation

Contributions to employee benefit plans & deferred compensation plans

Expense account and other allowances

40

$488,799

$40,515

$0

40

$547,261

$129,225

$0

40

$1,123,169

$222,656

$0

1

$48,800

$3,733

$0

40

$441,566

$45,082

$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings

23

Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?

No

Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?

Yes

Does the organization have a written conflict of interest policy?

Yes

Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits

Loans and Advances

Compensation

Contributions to employee benefit plans & deferred compensation plans

Expense account and other allowances

$0

$238,015

$41,918

$0

Other Information

Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?

Yes

Was there a liquidation, dissolution, termination, or substantial contraction during the year?

No

Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?

Yes

Direct and indirect political expenditures

$0

Did the organization file Form 1120-POL for this year?

No

Were substantially all dues nondeductible by members?

Did the organization make only in-house lobbying expenditures of $2,000 or less?

Dues, assessments, and similar amounts from members

$0

Section 162(e) lobbying and political expenditures

$0

Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices

$0

Taxable amount of lobbying and political expenditures

$0

Does the organization elect to pay the section 6033(e) tax on the amount above?

If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?

Initiation fees and capital contributions

$0

Gross receipts for public use of club facilities

$0

At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?

Yes

Amount of tax imposed on the organization during the year under: section 4911

$0

Amount of tax imposed on the organization during the year under: section 4912

$0

Amount of tax imposed on the organization during the year under: section 4955

$0

Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?

No

Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958

$0

Amount of tax above, reimbursed by the organization

$0

At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?

No

Did the organization acquire a direct or indirect interest in any applicable insurance contract?

No

Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?

No

Number of employees employed in the pay period that includes March 12, 2006

9,074

Analysis of Income-Producing Activities (for 2007)

Unrelated business income

Excluded by section 512, 513, or 514

Related or exempt function income

Business code

Amount

Exclusion code

Amount

Total

$3,805,076

$47,838,209

$1,646,560,290

Program service revenue

Program service revenue 1

000000

$0

00

$0

$1,594,738,278

Program service revenue 2

000000

$0

00

$0

$0

Program service revenue 3

000000

$0

00

$0

$0

Program service revenue 4

000000

$0

00

$0

$0

Program service revenue 5

000000

$0

00

$0

$0

Medicare/Medicaid payments

000000

$0

00

$0

$0

Fees and contracts from government agencies

000000

$0

00

$0

$0

Membership dues and assessments

000000

$0

00

$0

$0

Interest on savings and temporary cash investments

000000

$0

Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)

$6,611,757

$0

Dividends and interest from securities

000000

$0

Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)

$22,522,392

$0

Net rental income or (loss) from real estate

debt-financed property

000000

$0

00

$0

$0

not debt-financed property

Rental of personal property

$14,682

Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)

$2,225,803

$0

Net rental income or (loss) from personal property

000000

$0

00

$0

$0

Other investment income

000000

$0

00

$0

$0

Gain or (loss) from sales of assets other than inventory

000000

$0

Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))

$15,608,307

$0

Net income or (loss) from special events

000000

$0

00

$0

$0

Gross profit or (loss) from sales of inventory

000000

$0

00

$0

$13,459,046

Other revenue

Other professional, scientific, and technical services

$3,790,394

Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))

Did the organization make any taxable distributions under section 4966?

No

Did the organization make a distribution to a donor, donor advisor, or related person?

No

The total number of donor advised funds owned at the end of the tax year

$0

The aggregate value of assets held in all donor advised funds owned at the end of the tax year

$0

The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts

$0

The aggregate value of assets held in all funds or accounts included above at the end of the tax year

$0

Reason for Non-Private Foundation Status

The organization is not a private foundation because it is

Hospital, or a cooperative hospital service organization

Support Schedule

1999

2000

2001

2002

2003

2004

2005

2006

Total

$0

$0

$0

$0

$0

$0

$0

$0

Gifts, grants, and contributions received

$0

$0

$0

$0

$0

$0

$0

$0

Membership fees received

$0

$0

$0

$0

$0

$0

$0

$0

Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose

$0

$0

$0

$0

$0

$0

$0

$0

Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975

$0

$0

$0

$0

$0

$0

$0

$0

Net income from unrelated business activities not included above

$0

$0

$0

$0

$0

$0

$0

$0

Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf

$0

$0

$0

$0

$0

$0

$0

$0

The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge

$0

$0

$0

$0

$0

$0

$0

$0

Other income

$0

$0

$0

$0

$0

$0

$0

$0

Lobbying Expenditures by Electing Public Charities (for 2007)

Total exempt purpose expenditures

$1,626,489,230

Total lobbying expenditures

$87,936

Total lobbying expenditures to influence public opinion (grassroots lobbying)

$0

Total lobbying expenditures to influence a legislative body (direct lobbying)